Individual provider Active NPI

Christi Doud, LCSW

  • Social Worker
  • Portland, OR
National Provider Identifier
1558863175
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
711 SE Ankeny St Ste B
Portland, OR 97214-1215
Phone
(503) 383-9643
Fax
(503) 214-5545
NPI assigned
Feb 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

711 SE Ankeny St Ste B
Portland, OR 97214-1215

Mailing address

2410 SE 10TH Ave
Portland, OR 97214-4624
Phone (503) 383-9643

Other practice location 1

2410 SE 10th Ave
Portland, OR 97214-4624
Phone (503) 383-9643

Other names 1

  • Chris Doud Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010000145 OR Practitioner - Clinical Social Worker 3173978244 Practice locations: Portland, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dian's Well Counseling LLC Social Worker CurrentSince Aug 6, 2023 Accepting new patients

Locations

711 SE Ankeny St
Ste B
Portland, OR 97214
Phone (503) 383-9643

1110 SE Alder St
Ste 301
Portland, OR 97214
Phone (503) 317-7780

2410 SE 10th Ave
Portland, OR 97214
Phone (503) 383-9643

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1558863175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SE 10TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144624",
            "telephone_number": "503-383-9643",
            "fax_number": "503-214-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SE ANKENY ST STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141215",
            "telephone_number": "503-383-9643",
            "fax_number": "503-214-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 SE 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972144624",
            "country_code": "US",
            "telephone_number": "503-383-9643",
            "fax_number": "503-214-5545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUD",
        "first_name": "CHRISTI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "DOUD",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.